What is a cranialization?
Introduction. Severe injuries which result in disruption of greater than 25% of the posterior table should be considered for cranialization. This involves exposure of the entire sinus, meticulous removal of all sinus mucosa, and removal of the posterior table bone.
What is sinus obliteration?
Osteoplastic frontal-sinus obliteration is a surgery that eliminates the frontal sinuses in order to prevent chronic infection, or in response to head trauma or cancer. Patients needing this surgery often have undergone other less-invasive procedures such as endoscopic sinus surgery.
What is a Pericranial flap?
The anterior pericranial and galeofrontalis flaps have been used extensively for anterior skull base and craniofacial reconstruction. These flaps may be turned inward to separate the intracranial contents from the sinonasal cavity.
Are the frontal sinuses connected?
The frontal sinus originates embryologically from an anterior ethmoidal cell. The connection between the frontal sinus and anterior ethmoidal complex is not a tube or duct but an hourglass-shaped space or recess.
What is Osteoplastic?
osteoplastic. / (ˌɒstɪəˈplæstɪk) / adjective. of or relating to osteoplasty. of or relating to the formation of bone.
What is the CPT code for a Pericranial flap?
15733
Reconstruction Procedures
| Procedure | Specialty/Code to Report |
|---|---|
| Minimally invasive extracranial pericranial flap | 15733 Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (i.e., buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae) |
When is cranialization indicated in the treatment of sinus injuries?
Introduction Severe injuries which result in disruption of greater than 25% of the posterior table should be considered for cranialization. This involves exposure of the entire sinus, meticulous removal of all sinus mucosa, and removal of the posterior table bone.
What kind of Doctor does frontal sinus cranialization?
Frontal sinus cranialization. Cranialization is best suited for severe frontal sinus injuries, with comminution of the posterior table bone. The procedure is typically carried out by a multidisciplinary team, including an otolaryngologist and a neurosurgeon.
What are the possible complications of frontal sinus cranialization (sinus surgery)?
Some complications of frontal sinus cranialization clearly relate to surgical technique. The frontal branch of the facial nerve is vulnerable to injury during elevation of the coronal skin flap. The result is paralysis of the ipsilateral forehead.